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Home My WebLink About1000-107.-9-28 TOWN OF SOUTHOLD co Rental Permit Permit No. 0458 Owner Elizabeth Murphy Occupied as Single Family Dwelling Located at 900 Bayer Road Mattituck 107-9-28 Maximum Permitted Occupancy 6 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. 6/10/2021 -E Code Enfo a ent Official This Notice must be posted by the main entrance at all times 0�®Su�foL��OG Town Hall Annex SOUTHOLD TOWN 54375 Main Road C= Rental Inspection PO Box 1179 Southold, n� NY 11971-1179 ®,l, �'� Tel: 631-765-1802 ,1 Fax 631-765-9502 SCTNI # 1-29 Date 62 -0 Owner _ r z k v)NVr . Phone 309'S&v-36Z,o Address 1100 Zip Hamlet ftla— ��,(�, Inspector Address visible from street? LEVELS SUB 1 2 3 Smoke Detectors (#-bedroom detectors excluded) - Carbon Monoxide Detectors (#) L/ Fire Extinguishers (#) Exits(#) BEDROOMS 1 2 3 4 5 Smoke Detector Alarms(#) Carbon Monoxide Alarms(#) Egress(windows) (Y/N) BUILDING SYSTEMS VIN CONDITION OF PROPERTY Heating system maintained/operational Building Interior is clean/maintained Hot water system maintained/operational Building Exterior is clean/maintained Electrical system maintained/operational Property is clean/safe/maintained Mechanical system maintained/operational Handrails&guards present POOLS Y/N POOL BARRIERS Y/N Pool present Pool is completely enclosed Pool surface alarm and/or door alarm Barrier is a min.48" high resent POOL GATES Y/N All openings in barrier less than 4" Self-closing, self-latching Max. 2"clearance @ bottom of barrier Latch on pool side of gate, meets height Barrier capable of being locked &child- requirements proof when unattended COMMENTS: S011ly Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 A ! Q Southold,NY 11971-0959 BUILDING DEPARTMENT APR - 6 2021 TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION Rental Permit Fee$200(Application must be renewed every two years) Section A. Property Information: Rental Property Address: Tax Map Number: 1000 SECTION � � -BLOCK. __- -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: O,CJ �,4)4 �L N` Telephone Number(s): Daytime Evening Emergency Property Owner Email Address: �/RIO% l Page l of 5 OKA Ij l ��Z o��4E SOUpy�- Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 • Y� Southold,NY 11971-09590 BUILDING DEPARTMENT - A TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION INSTRUCTIONS Rental Permit Fee $200 (Application must be renewed every two years) The items listed below are required to be submitted with the completed application.- i""'Floor Plans: Floor plans of each Rental Dwelling Unit, please show location of all smoke &carbon monoxide detectors. [Certificates of Occupancy and Pre-Certificates of Occupancy: Certificates of occupancy or Pre-Certificates of Occupancy for each rental dwelling unit. ❑ Certification of Code Compliance(form enclosed): Must be submitted by a license architect or engineer or license home inspector if an inspection by Town of Southold Inspector is declined. Rental Permit Fee: $200.00 . C�Srti pF SOLOTy��. Town Hall Annex Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 Y� Southold,NY 11971-0959 D BUILDING DEPARTMENT TOWN OF SOUTHOLD Section C. Authorized Agent Info r ation: Name of Authorized Agent of dwellin nit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening mergency Email Address: Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent(no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number(s): Daytime Evening Ee envy Email Address: SECTION E. SITE MANAGER INFORMATION: (required ental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Page 2 of 5 "\pf SOUryo Town Halt Annex J�f Telephone(631)765-1802 54375 Main Road N Fax(631)765-9502 P.O.Box 1179 • 4 Southold,NY 1 1971-0959 o Y BUILDING DEPARTMENT TOWN OF SOUTHOLD Mailing Address of Managing Ag Telephone Number(s): Daytime Eve Emergency Email Address: SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: 0X-115I" For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1; Unit 2, Unit 3 or Apt A, B, C);the use of each room in the Rental Dwelling Unit (for,example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: L c5e cc�t Page 3 of 5 o Town Hall Annex Telephone(631)765-1802 54375 Main Road cn Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD SECTION G. INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold,the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. ❑ 1 am requesting a fire safety inspection to be performed by a Code Enforcement Official from the Town of Southold ❑ 1 am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) } COUNTY OF SUFFOLK) 6i7bef�� :Lu� certify under penalty of perjury,the following: 1. 1 am the owner of the property identified in "Section;A';;of this;application: 2. The property owners legal address set forth in Section,B' ois:application is my legal address and I understand the Town will use the address for service pursuant to all Page 4 of 5 0t S01/��0 Town Hall Annex Telephone(631)765-1802 54375 Main Road cis. Fax(631)765-9502 P.O.Box 1179 Southold,NY 11971-09590 BUILDING DEPARTMENT TOWN OF SOUTHOLD applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. 4. 1 will notify the Town within five (5) business days as to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: r 44. Sworn to before me this 6day of 202 Official Notary Public Signature and Original Notary Stamp CAROLINE M MACARTHUR NOTARY PUBLIC-STATE.OF NEW YORK No.01 MA6384635 Qualified in Suffolk County MyCommi,ssiomExpires 12-17-2022 Page 5 of 5 I -7 C� 1-3 T F SOUT L . 'HOPE °Y C ® CAR OWNER STREET ''" �$ VILLAGE : DISTRICT SUB. LOT sD y A e Ai t ' r' � � x '�. ., ✓E, p F,a � d9.,-` F i' FORMER OWNER N� E ACREAGE. t J j :i S o: W TYPE OF BUILDING ? 1 ILL,,� I Y RES. a,` SEAS. VL. FARM ; COMM. I IND. l CB: ( MISC. I Est. Mkt. Value IND IMP. TOTAL DATE, REMARKS' -• l f'{..�a' �,f a `q s.+'' S, -? -°� ,. W[rr.. i l ` 'F� € 40 1!1:,+_ 'vvj ,,1,e— .`y_` 3y'. r'�^•^ I Fwd `7'` 0 Z J, 6, C-v to f -°:° fir,' k ,;KG Ly — _ t --- -- i� F AGE BUILDING CONDITION tcr r! = --'- NEW -'NORMAL BELOW ABOVE , FRONTA ATER Farm Acre Value :Per Acre Value " 'FRONTAGE ON ROAD BULKHEAD Tillable 1 —� j--. i t BLK Tillable 2 - Tillable 3 Woodland Swampland _ Brush(a --w House Plot7 E-- Total --. I Tota I ' tl �, i �i 'V�.•';��,` Y'+',;-,' ��:i+ 7.: t �� ;�p.: a`,�•x ua',d _'°�,,j< .�1S`e •�s• -r.!v-.:�_ g,:,,,}<�� iF'%,. •'`�'g',� a-,,yY4 '�Ss. �^��ypi,<. .. S 1 ly ..5..<�i ��na:+�' �"` ��. b 'Y, i ,.rtz 3''� ylir+ ✓ � , : f rsrt,-; 's�,+Pw�-`�•' � - t.� 'tee }^'. �' (a� � .._ n- a _ .. :. ,� <•-Wim,.:�-.c.. �� _ n < _w r s'v .<.;g,�,� :; �• :"'�«'<�;�N�-v;': '.: �3 .+ti' '�`�-. ,k,'r' - �.>" L "�;,.`=�"r^�K„-m.sl::.�':':'Ysrxs-_,..:rm: Y s , 5 k " .,•, -,.�•:�'�.."rye r, � s."'-�., as.} "„.., .,•3°i{•••.?;.s"Ln'.� i;s�r.:Po r��. :ae^'y f + ,..�•w>r :^'u ,•.;•}'__.,a � ✓ �.. .<". •f .t -.itl3sSrA� i j ..: .^,F'; .r, .. .:.� •:>-,t- ....,:v,,aw .,+r �,fie,,, •C-P (�.•;, � N"w.-'.r a _-i--- -_ _ __ I y _— .. �, „.-..._ .. _•-„ } .•.(x�sF 5 tlf+ s� Y":•,T' 'a„ "I i....—-,.- ._R.�. .-F.— , i _,' It i AMA U ..., -. - ,• �.:_.:a.,•._."•..;�,d,:...�__..:_:,::...�:-....u�..:�:,.::«:...:'.._.....,:,c...._s:...V. '.:sw„'2'��':,;.:-<;v�z".^ _�-+'.sd•.._:+,'�� ' s...>$:a«: .... ::.Ait _ — ___ .. ...... I 107.-9-28 2/10 ! I • f t t + : 1 i •i 1 c � 1 i r , : Mi. Bldg. =t-- Foundation `t? ' is#h Extension r ---._....._._.__._ Basement.. i Floor 1- — . ( , Extension Ext. Walls (. ' w� � tom, ti' �v; ' "Interior Finish i Extension j Fire Place „ H.eot P arr- � :art 3' � { Porch Roof Type t - '.... �e Parch i Roams 1st Floor ............_........... -'- _..... - .....__...._. ___ __ _._.._._...... - --... ----------- ----- ' Bre _ ay 'E !” Patio Rooms 2nd Floor 0 , Garage ,�t�' .._i, I ' Drivewayvca rmer' 6 — ---...................... ------- --- `f -:Skf FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. PRE EXISTING CERTIFICATE OF OCCUPANCY No: Z- 29148 Date: 12/26/02 THIS CERTIFIES that the building DWELLING Location of Property 900 BAYER RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 0009 Lot 028 Subdivision Filed Map No. Lot No. conforms substantially to the Requirements for a ONE FAMILY DWELLING built prior to APRIL 9, 1957 pursuant to which CERTIFICATE OF OCCUPANCY NUMBER Z- 29148 dated DECEMBER 26, 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is ONE FAMILY DWELLING WITH ACCESSORY WOOD FRAME GARAGE The certificate is issued to EMILY R MATHER (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO_ N/A PLUMBERS CERTIFICATION DATED N/A *PLEASE SEE ATTACHED INSPECTION REPORT. Au or' ed Sig ature Rev. 1/81 BUILDING DEPARTMENT TOWN OF SOUTHOLD HOUSING CODE INSPECTION REPORT LOCATION: 900 BAYER RD MATTITUCK SUBDIVISION: MAP NO.: LOT (S) NAME OF OWNER (S): EMILY R MATHER OCCUPANCY: SINGLE FAMILY EMILY R MATHER ADMITTED BY: RALPH ARMBURST ACCOMPANIED BY. SAME KEY AVAILABLE: SUFF. CO. TAX MAP NO.: 107.-9-28 SOURCE OF REQUEST: A. WICKHAM, ATTY, 11/21/02 DATE: 12/26/02 DWELLING: TYPE OF CONSTRUCTION: WOOD FRAME # STORIES: 1.0 # EXTTS: 2 FOUNDATION: CEMENT BLOCK CELLAR: 3/4 CRAWL SPACE: 1/4 TOTAL ROOMS: IST FLR.: 6 2ND FLR.: 0 3RD FLR.: 0 BATHROOM(S): 1.0 TOILET ROOM(S): 0.0 UTILITY ROOM(S) : PORCH TYPE: DECK TYPE: PATIO TYPE: CEMENT BLOCK (REAR) BREEZEWAY: FIREPLACE: ONE GARAGE: DOMESTIC HOTWATER: YES TYPE HEATER: OFF BOILER AIRCONDITIONING: TYPE HEAT: OIL WARM AIR: HOTWATER: XX OTHER: ACCESSORY STRUCTURES: GARAGE, TYPE OF CONST.: WOOD FRAME, 4 CAR STORAGE, TYPE CONST.: SWIMMING POOL: GUEST, TYPE CONST.: OTHER: VIOLATIONS: CHAPTER 45 N.Y. STATE UNIFORM FIRE PREVENTION & BUILDING CODE LOCATION DESCRIPTION I ART. I SEC. 1 I I i I I i I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I R391ARYC: BP #23014Z-COZ-23932 (ADD) Reins cted 12/20/02 INSPECTED BY: DATE ON INSPECTION: 11/26/02 GARY J. lz TIME START: 10:15 AM END: 10:40 AM FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No Z-23932 Date OCTOBER 5, 1995 THIS CERTIFIES that the building ADDITION 900 BAYER ROAD & Location of Property 1060 CONKLIN ROAD MATTITUCK NY House No. Street Hamlet County Tax Map No. 1000 Section 107 Block 9 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated SEPTEMBER 8, 1995 pursuant to which Building Permit No. 23014-Z dated SEPTEMBER 14, 1995 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is A REAR LANDING AN STAIRS ADDITION TO AN EXISTING ONE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to EMILY R. MATHER (owner) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A UNDERWRITERS CERTIFICATE No. N/A PLUMBERS CERTIFICATION DATED N/A Bu ''efding inspector Rev. 1/61 FORM NO. 4 TOWN-.OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-31128 Date: 08/22/05 THIS CERTIFIES that the building ALTERATIONS Location of Property: 900 BAYER RD MATTITUCK (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 107 Block 9 Lot 28 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 24, 2003 pursuant to which Building Permit No. 29981-Z dated DECEMBER 30, 2003 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is INTERIOR ALTERATIONS & ENTRY ADDITIONS TO AN EXISTING SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to ELIZABETH JANE MURPHY (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1203256 10/15/04 PLUMBERS CERTIFICATION DATED 07/22/05 TIMOTHY HORTON Aut orized Signature Rev. 1/81